Vascular reconstructions performed during general surgical procedures

During the past five years several general surgical interventions took place at our clinic where we had to resect- and afterwards reconstruct vascular vessels. Planned resections were carried out to increase oncologic radicalism during the operations of malignant tumors (pancreas-head tumors, bile-duct tumors). The need of vascular resections sometimes came to mind according to the find on the preoperative examinations (CT, Doppler, laparoscopic and endoscope US). Usually the propagations of tumors into the surrounding vessels (superior mesenteric artery SMA, hepatic artery, VCI), is equal to inoperability. On our poster we examined if the interventions done because of pancreas tumors or Klatskin-tumors combined with vascular resections enhanced survival or not.

Vascular injuries can occur on any vessel during general surgical interventions. In our poster we examined cases where vascular reconstructions had to be carried out because of the important territory supplied by the artery (SMA, VCI, portal vein). If possible we intended to suture the vessel directly, or if a graft was necessary we always used the VSM.